Individual
LEE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 NE GLISAN ST, SUITE 100, PORTLAND, OR 97213-3069
(503) 215-9700
(503) 215-9701
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25488
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026569
—
OR
01
—
P00604892
RR MEDICARE
OR
Enumeration date
03/01/2007
Last updated
09/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us